Individual
THERESA CARLA NEGRIDO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
480 TESCONI CIR STE B, SANTA ROSA, CA 95401-4691
(707) 206-7268
Mailing address
71 BLANCA DR, NOVATO, CA 94947-3729
(818) 445-5414
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
685968
FL
363LF0000X
Family Nurse Practitioner
95004522
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95004522
CA
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
3636
CA
Other
Enumeration date
12/15/2011
Last updated
07/16/2025
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